| NPI | 1932248259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE BAILEY Credentialing Specialist 928-634-2236 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH-2871) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2023-09-11 |